Treatment of azoospermia. Cause and effect

2016

20

Oct

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If you believe the psychologists, then child birth is one of his most emotional experiences in the life of any normal person. Of course, it is preceded by up to 9 months of pregnancy and the process of conception. And here already at this early stage, many of today's couples encounter almost insurmountable obstacles. For example, in men one of the most frequent causes of infertility is the lack or complete absence of motile sperm in the ejaculate. (this is the name of this pathology in clinical practice) is one of the key focus areas of the Berlin clinic Praxis f r Fertilit t, a well - respected institution in the fight against male and female infertility.

Cause and effect

to Recognize azoospermia yourself is impossible, even if a man has a regular sex life. The fact that the ejaculate or semen by and large consists of secretory fluid sexual glands interspersed with portions of sperm. In normal condition the amount of secret should be about 3...5 ml, which must contain not less than 20 million sperm. What this indicator is lower the higher the chances of developing infertility.

If to speak about azoospermia, then you should immediately focus on the fact that in this pathology of sperm in the ejaculate is missing completely. A similar condition can be caused by two main reasons, which lie at the basis of the classification of diseases:

the

violation of the secretory function of the testicles, that is, sperm are not produced initially. This condition is called non-obstructive azoospermia and is diagnosed in more than 60% of patients;

the

violation of the patency of the ducts. In obstructive azoospermia, secretory function may not be active, but are physically blocked ejaculatory. The latter is the result of congenital abnormalities (aplasia, hypoplasia), inflammatory processes, traumas or operations. Statistically makes up about a third of all cases.

In less than 10% of cases may occur complex or transient azoospermia, which can cause obstructive and non-obstructive factors.

Treatment

In setting such diagnosis, the main task is extraction of active sperm in the process of taking laboratory material (biopsy) from the deep tissues of the testes and their appendages. Is the procedure methods testicular extraction (TESE) or aspiration: indicate epididymal (MESA), percutaneus of appendages (PESA) or the testis (TESA).